101947 MITSCH DESIGN INC I)
INDIANA RETAIL TAX EXEMPT Page 1 of 1
Ct37 of Iirr.inie1
CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
JL FEDERAL EXCISE TAX EXEMPT 101947
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/14/2018 372777 ARCHITECTURAL AND DESIGN SERV ICES FOR LEASED
SPACE
MITSCH DESIGN INC Community Relations
VENDOR 200 S RANGELINE RD SHIP 1 Civic Square
SUITE 226 TO Carmel, IN 46032-
CARMEL, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29065
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: Fund:
Account:
Each
Sub Total
Department: 1203 Fund: 101 General Fund
Account: 43-419.99
1 Each ARCHITECTURAL AND DESIGN FEES FOR LEASED SPACE $2;200.00 $2,200.00
Sub Total $2,200.00
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Send Invoice To:
Community Relations
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1 Civic Square t:
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $2,200.00
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �l�n s+c, _
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / , ambi I. /4&e \�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY —
Nancy Heck4%/ 4\.
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TITLE Director
CONTROL NO. 101947 CLERK-TREASURER